Development CPS

Question 1

Adverse outcomes in childhood and adolescence with ADHD (5)

Answer 1

Educational problems
Difficult peer relationships
Increased rates of MVCs
Accidental injuries
Substance misuse

Question 2

Predictors of ADHD persistence (6)

Answer 2

Combined inattention and hyperactivity
Increased symptom severity
Comorbid major depressive or other mood disorder
> 3 additional DSM disorders
Parental anxiety
Parental antisocial personality disorder

Question 3

Prenatal and delivery risk factors associated with ADHD

Answer 3

In utero exposure to alcohol or tobacco
Low birth weight (< 2500), hypoxic-anoxic injury, epilepsy, TBI

Question 4

What tests should you order prior to diagnosing ADHD?

Answer 4

None!
Unless indicated by history and physical, don’t order labs, genetic testing, EEG, neuroimaging, psychological, or SLP assessments

Question 5

Medical conditions that can be confused with ADHD

Answer 5

OSA
IBD
Visual or auditory impairments
Chronic health conditions with lots of missed school
Epilepsy
Post concussion status
Genetic conditions (fragile X, Turner, tuberous sclerosis, NF, DiGeorge)
Central auditory processing disorder

Question 6

First line ADHD treatment for children < 6 years

Answer 6

Parent behaviour training

Question 7

Side effects from Strattera (atomoxetine)

Answer 7

GI symptoms (appetite loss, upper abdo pain)
Somnolence
Headaches
Moodiness and irritability
Suicide related events and hepatic disorders (rare)

Question 8

Side effects from Intuniv (guanfacine)

Answer 8

Sedation and somnolence
Fatigue
Orthostatic hypotension
Bradycardia
Syncope

Question 9

Syndromes that can present with ADHD and ASD (4)

Answer 9

Fragile X
Tuberous sclerosis
22q11 deletion
Williams syndrome